Hydrocele- Causes, Symptoms, Treatment and Prevention

Q: What happens if hydrocele is not treated?

Untreated hydrocele can result in a number of complications. It can grow in size and the symptoms can become severe. The scrotal fluid can become infected. Also, excessive fluid accumulation can pressurize the testicles and cause unpleasant complications.

Q: How painful is hydrocele surgery?

Whether hydrocele surgery will be painful or not, depends upon the surgical procedure chosen. Open surgery involves a number of incisions and stitches, and thus is quite painful. Laser hydrocelectomy, on the other hand, is an absolutely painless procedure. You won’t experience any pain during or after the procedure of laser hydrocelectomy.

Q: What is the best treatment for hydrocele?

Laser hydrocelectomy is the most modern and technically advanced treatment available for hydroceles. It is a minimally invasive, pain-free and trouble-free procedure that helps you get rid of hydroceles within a day.

Q: Can hydrocele come back?

If surgical treatment is not done, hydroceles can definitely come back quite frequently. The only permanent solution for hydrocele is the surgical treatment called hydrocelectomy.

Q: Is laser treatment for hydrocele safe?

Laser hydrocelectomy is a 100% safe procedure. You can rely on it without any second thoughts. There is no risk of complications associated with the laser treatment of hydrocele.

Q: How long do I need to stay in the hospital after hydrocele surgery?

The time period for hospital stay varies from procedure to procedure. For conventional open surgery, you may have to stay in the hospital for a few days. Laser hydrocelectomy, however, is a daycare procedure and you can go home on the same day.

Q: How common is hydrocele?

Hydrocele is quite common in infants, affecting nearly 10 percent of them. In adults however, this ratio is comparatively lower. It is estimated that nearly 1-2 percent of adult men face the problem of hydrocele.

Q: Can hydrocele affect fertility?

Hydrocele directly does not affect fertility. However, a hydrocele can be associated with some other testicular problem or underlying tumors, which can affect the testicular functioning and have adverse impacts on fertility.

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What is Hydrocele?

A hydrocele is a condition that involves swelling of the scrotum. The scrotum is a thin sac that holds the testicles. Hydrocele occurs when too much fluid builds up inside the sac. This is common in newborns but older boys and men can get it as well. Though the condition sounds serious or painful, it isn’t. Also, it won’t cause any serious complications. Besides, it even goes away on its own, however, if you are a parent and your kid has the condition, you better consult with a doctor. There are two types of hydrocele:

Non-communicating hydrocele: It is when the sac closes like normal, but the body doesn’t absorb the fluid inside it.

Communicating hydrocele: It is when the sac doesn’t seal and cause swelling to the scrotum.

Overview

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Causes

Infections in the testicle

Injury to the scrotum

Tumors

Symptoms

Scrotal Swelling and Inflammation

Itching

Heaviness

Accumulation of fluid in the scrotum

Pain

Treatment

Diagnosis

To better diagnose the condition, the expert doctor will have to perform a physical exam. If you have a hydrocele or your kid has it, you may find the scrotum is swollen. The doctor can also check for tenderness in the scrotum. If the fluid is present, the scrotum will allow light transmission. Also, an expert doctor may apply pressure to the abdomen to check for other underlying conditions. The doctor may also ask you to cough or may take a blood or urine sample to test.

Procedure

The problem of hydrocele goes away on its own in infants when they are 8 - 10 months. But, if somehow it gets bigger, the best urologist can help in the treatment of hydrocele. If a patient has communicating hydrocele, the best hydrocele doctor may suggest surgery. The Urologist can remove a hydrocele in a brief procedure called a Hydrocelectomy. The patient will be given medicine to numb the body, afterward, the laser surgeon performs a minimally invasive treatment of hydrocele. Once the modern and advanced procedure is finished, the patient can go home the same day.

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Frequently Asked Questions

What happens if hydrocele is not treated?

How painful is hydrocele surgery?

What is the best treatment for hydrocele?

Can hydrocele come back?

Is laser treatment for hydrocele safe?

How long do I need to stay in the hospital after hydrocele surgery?

How common is hydrocele?

Can hydrocele affect fertility?

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Hydrocele Overview

Accumulation of fluid around the testicles is known as Hydrocele. The fluid may surround one or both testicles. Hydrocele repair is the process to treat swelling and inflammation of the scrotum during hydrocele. It is not painful but it gets enlarged with time. To be on the safe side, it is always advised to seek consultation with a doctor.

Fast Facts on Hy...

drocele

Hydrocele is commonly found in newborns, which disappears within the first 1 to 2 years of life without any treatment.
Hydrocele may also develop in boys and adult men due to any injury within the scrotum.
It is not fatal. It is usually painless and may not cause any discomfort.
Hydrocele requires surgery as it may get severe with time.

Prevention

There is no way you can protect congenital hydrocele in babies. However, in adults, you can take precautions to protect it from injury.

Types of Hydrocele

There are two types of hydrocele:

Non-communicating Hydrocele

This occurs when the fluid-filled sac closes, but the body fails to absorb the fluid.

Communicating Hydrocele

It happens when the sac filled with fluid does not seal. The fluid tends to flow in and out. The swelling may increase with time in case of communicating hydrocele.

Treatment of Hydrocele

Surgery for Hydrocele

In a baby boy:

The surgeon makes a small surgical cut in the groin and drains the fluid. The hydrocele containing the fluid may be removed. The surgeon strengthens the abdominal wall with stitches. It is known as hernia repair.
Sometimes, the surgeon uses a laparoscope to perform the procedure. A laparoscope is a telescope-like instrument with a tiny camera that the surgeon inserts into the area through a small surgical cut. The camera gives a clear view of the internal structure on the video monitor. The surgeon repairs hydrocele with small instruments that are inserted through other small surgical cuts.

Hydrocelectomy

Hydrocele may not go away on its own so the doctor recommends hydrocelectomy. It is an outpatient procedure that is performed under general anesthesia. It can be done in two ways:

Open Surgery
Laser Surgery

Open Surgery

In this process, the doctor makes an incision in the scrotum or lower abdomen and the hydrocele is removed. You might need a tube to drain the fluid.

Laser surgery

It is a minimally invasive procedure where the blood vessels are sealed after repair with minimum blood loss. There is minimal scarring and negligible post-surgery complications with effective hydrocele ablation. It is preferred over open surgery.

Needle Drainage

The doctor drains the fluid with the help of a needle and a syringe. The fluid may get refilled after a few months with this process. This is an ongoing process and is recommended to those who are not fit to undergo surgery.

Sclerotherapy

In this process, the injection is given to stop the hydrocele from recurring after fluid drainage. It may not be the right treatment option for everyone.

Complications

Hydrocele is not life-threatening and usually does not affect fertility. Possible complications of hydrocele surgery, if you do not choose the right treatment, may be: